Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.48 / $207.43 / $618.91	Professional		$116.48	$207.43	$618.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.80 / $321.86 / $649.73	Professional		$135.80	$321.86	$649.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $296.64 / $454.51	Professional		$106.94	$296.64	$454.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.24 / $477.92 / $1,692.80	Professional		$236.24	$477.92	$1,692.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $260.55 / $346.81 / $605.50	Professional		$260.55	$346.81	$605.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $457.60 / $584.79	Professional		$5.00	$457.60	$584.79
United Facility/Professional Professional Modifier Low / Median / High Price $225.97 / $385.41 / $668.74	Professional		$225.97	$385.41	$668.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.70 / $281.10 / $514.90	Professional		$229.70	$281.10	$514.90